Scholars journal of applied medical sciences最新文献

{"title":"Comparison of Complications with Magnesium Sulphate & Fentanyl as Adjuvants for Epidural Labor Analgesia","authors":"Md. Abdur Rahim, Mohammad Mahabubuzzaman, Shamima Akter, Md. Saiful Islam, Md. Humayun Kabir, Md. Akkasur Rahman, Subrata Kumar Das, Humaiun Kabir, Md. Shahidullah Humayun Kabir","doi":"10.36347/sjams.2023.v11i10.010","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.010","url":null,"abstract":"Introduction: Effective and safe analgesia during labor has remained an ongoing challenge. Many pharmacological and non-pharmacological methods of labor analgesia have been adopted over the years. Of these, neuraxial or regional analgesia has become the most popular method. Possible regional anesthesia techniques include epidural analgesia, spinal analgesia, or a combination of epidural and spinal analgesia. This study aimed to compare the complications with magnesium sulfate and fentanyl as adjuvants for epidural labor analgesia. Methods: This prospective comparative study was conducted at the Department of Anaesthesia, Analgesia, Palliative and Intensive Care Medicine in collaboration with the obstetric department, Dhaka Medical College, Dhaka.Bangladesh. The study was carried out from October 2020 to March 2021. A total of 60 patients were assigned by computer- generated random table to one group (Group A) and another group (Group B). Group-A (n=30): Group-A received Fentanyl 25 micrograms as adjuvant to bupivacaine (0.5% plain bupivacaine 2.5 ml+25 microgram of fentanyl 0.005% 0.5 ml + 7 ml normal saline=10 ml) via epidural catheter. Group B received MgSO4 50 mg as an adjuvant to bupivacaine (0.5% plain bupivacaine 2.5 ml + 50 mg of MgSO4 10% 0.5 ml +7 ml normal saline=10 ml) via epidural catheter. Data were statistically described in terms of mean ± standard deviation (±SD), or frequencies (number of cases) and percentages when appropriate. Comparison of numerical variables between the study groups was done using the student t-test for independent samples. For comparing categorical data, a Chi-square (x2) test was performed. P values of less than 0.05 were considered statistically significant. F-value was determined by the Repeated measured ANOVA test where data were repeated more than one time. All statistical calculations were done using the computer program SPSS (Statistical Package for the Social Science; SPSS Inc., Chicago, IL, USA) version 22 for ........","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135889740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison between Intra-Articular Corticosteroid Injection with Physiotherapy and Corticosteroid Injection Alone in Management of Early Stage Frozen Shoulders: A Randomized Clinical Trial","authors":"Md. Nasiruddin Md. Nasiruddin, Mushfique Manjur, Md. Sazzadul Haque, Md. Jafrul Islam, Md. Alamgir Hossain","doi":"10.36347/sjams.2023.v11i10.009","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.009","url":null,"abstract":"Introduction: Frozen shoulder (FS) is the most prevalent cause of shoulder pain and impairment, affecting 2-4% of all adults. As an appropriate strategy of treatment for FS, supportive physiotherapy treatment (PT) and exercises within the limits of pain has been recommended. Objective: To compare between intra-articular corticosteroid injection with physiotherapy and corticosteroid injection alone in the management of early-stage frozen shoulder. Methods: This prospective randomized clinical trial study was done among 23 patients with symptoms of early-stage (stage I or II) FS in the Department of Orthopedics, Monno Medical College Hospital from July to December 2022. Two groups were formed out of all the patients. While the other group (non-PT) did not receive any additional physiotherapy treatment, one group did. A follow-up was planned for weeks 6, 12, and 26. Results: Patients who had symptoms for ≥6 months was significantly higher in PT group (81.8%) in comparison to non-PT group (p<0.05). Patients who took physiotherapy treatment was significantly higher in PT group (72.7%) in comparison to non-PT group (p<0.05). The median total SPADI scores in the PT group at baseline, which were 82 (IQR: 35-86) and in the non-PT group, which were 80 (IQR: 65-87), showed the significant pain and limitations of frozen shoulder (FS) in its early stages. Both therapy groups significantly improved at the primary endpoint of 6 weeks for SPADI scores (p<0.05). At 6 weeks compared to baseline, passive ROM increased significantly (p<0.05). Each of the three ROM orientations showed significant changes in favor of the PT group after 12 weeks (p<0.05). At 6 weeks after baseline, both pain scores and Rand-36 physical component scale scores significantly increased (p<0.05). Conclusion: In the first 12 weeks of the early stage of frozen shoulder, physiotherapy in addition to corticosteroid injection improves range of motion (ROM) and functional mobility limitations compared ............","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135889738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Aspects of Mandibular Osteitis at the Sominé Dolo Hospital in Mopti (Mali) from 2017-2022","authors":"Théra Thioukany David, Guindo Aly Abdoulaye, Fofana Youssouf, Traoré Bréhima, Traoré Djibril, Diaby Souleymane, Coulibaly Pièrre, Samaké Dramane, Coulibaly Modibo, Coulibaly Amady","doi":"10.36347/sjams.2023.v11i10.008","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.008","url":null,"abstract":"Infectious osteitis is often of dental origin and is caused by negligent or desocialized patients. Its chronic form is a public health problem due to its health and economic consequences. The objective of this work was to describe the clinical aspects of mandibular osteitis at the Sominé Dolo hospital in Mopti, Mali. From 2017 – 2022, we conducted a descriptive cross-sectional study on cases of mandibular osteitis who were seen in maxillofacial surgery consultations at the Sominé Dolo hospital in Mopti. This hospital is located in Sevaré and is the largest reference center in the 5th region of Mali. All patients were questioned and examined by a maxillofacial surgeon and additional examinations were carried out (BCN, blood sugar, serum creatinine, transaminases, SRV, TPHA/VDRL, mandibular radiography). During the study period, 47 cases of mandibular osteitis were included out of a total of 710 patients seen in maxillofacial surgery consultations, representing a hospital frequency of 6.6%. The ages of the patients ranged between 5 and 70 years with an average age of 17 years. The gender is divided into 25 men (53.2%) and 22 women (46.8%), i.e. a sex ratio of 1.1. The consultation time before 6 months was 71.5%, it was 11.9% between 6 and 12 months and 16.6% after 12 months. The osteitic lesions were located: the left horizontal branch (42.5%), the right horizontal branch (25.5%), pan-mandibular (14.3%), the left ascending branch (10.6%), the right ascending ramus (10.6%) and the mandibular symphysis (2.4%). The osteitis of our patients was of origin: post-traumatic (6.3%), periodontal (4.3%), dental (89.4%). Traditional treatment was done by 36.1% of our patients before the medical consultation. Regarding treatment: five patients were treated medically (10.6%) and 42 were operated on (89.3%). Knowledge of this condition allows early treatment, which obviously avoids complications sometimes responsible for aesthetic and functional after-effects that are difficult ....","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136034574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between Lipid Profile and Serum Uric Acid in Non-Hypertensive Non Diabetic Adults","authors":"Mostafa, M. N, Jahan, I, Rashid, H. O, Saha, R, Khan, F. N","doi":"10.36347/sjams.2023.v11i10.007","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.007","url":null,"abstract":"Background: The study aimed to investigate the relationship between lipid profiles and serum uric acid levels in a specific population of non-hypertensive, non-diabetic adults. The focus was on understanding how these biochemical markers interact in individuals without major comorbidities, which are often confounding factors in such studies. Methods: This cross sectional observational study was conducted with a total of 172 participants recruited from the OPD of CMH, Cumilla. Data were collected on demographic characteristics, anthropometric measurements, and vital signs. Blood samples were analyzed for lipid profile and serum uric acid levels. Bivariate correlation and linear regression analyses were employed to explore the relationships between the variables. Result: The mean age was 33.33 years (SD ± 9.41), with 38.37% aged between 21-30 and 40.70% between 31-40. Gender was balanced with 53.49% males. The mean BMI was 27.22 (SD ± 4.18), with 46.51% overweight and 27.91% obese. For cholesterol, 44% had normal levels, 38.1% borderline high, and 17.9% high. LDL levels were high in 50.6% of participants. Serum uric acid was normal in 95.2% of participants. Pearson correlation showed strong positive correlation between cholesterol and LDL (r = .756, p < 0.001). Linear regression revealed a positive association between cholesterol and serum uric acid (Beta = 0.403, p = 0.046) and a negative association with HDL (Beta = -0.345, p = 0.007). Conclusion: The study provided a nuanced perspective on the relationship between lipid profile and serum uric acid levels in non-hypertensive, non-diabetic adults. The findings suggest that the relationship is complex and may be influenced by various factors, including age, gender, and overall metabolic health. Despite limitations such as a small sample size and the exclusion of individuals with metabolic disorders, the study offers valuable insights that warrant further investigation in a more diverse population.","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"263 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135919439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ear Nose and Throat (ENT) Symptoms in Hospitalized Individuals with Confirmed COVID-19 Infection in a Tertiary Care Hospital","authors":"Md. Faysol Alam, Anwara Khatun, S. M. Abdul Munim, Md. Atiqur Rahman, A.H.M. Rashid-E- Mahbub","doi":"10.36347/sjams.2023.v11i10.005","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.005","url":null,"abstract":"Background: Acute respiratory distress syndrome (ARDS) and other lower respiratory tract-related symptoms, such as fever, coughing, dyspnea, and pressure in the chest, are the major symptoms of COVID-19. Objectives: The aim of the study was to assess the Ear Nose and Throat (ENT) Symptoms in Hospitalized Individuals with Confirmed COVID-19 Infection. Methods: This cross-section observational study was carried out in the Department of ENT, Rangpur Medical College, Rangpur, Bangladesh. The duration of the period from July 2020 to July 2021. A total of 125 patients were participate in the study. All included patients were diagnosed as having confirmed COVID-19 by polymerase chain reaction (PCR) test. After collection, the data were checked and cleaned, followed by editing, compiling, coding and categorizing according to the objectives and variable to detect errors and to maintain consistency, relevancy and quality control. Statistical evaluation of the results used to be obtained via the use of a window-based computer software program devised with Statistical Packages for Social Sciences (SPSS-24). Results: Mean ± SD age was 35 ± 0.9. Among all the patients 60% were female and 40% were male. Regarding comorbidity, 40% had DM, 48% had HTN, 20% had Thyroid related disease and 10% had CKD. Regarding ENT manifestation, 30% had Sore throat, 60% had Anosmia, 35% had Nasal congestion, 33% had nasal obstruction, 34% had Sneezing, 38% had headache, 30% had olfactory and taste dysfunction, 28% had Runny nose or rhinorrhea, 19% had Upper Respiratory Tract Infection (URTI), 10% had Tonsil enlargement and 8% had Allergic rhinitis. There was a significant relationship between age and Severity of COVID-19, Sex and Severity of COVID-19, -19, smoking and Severity of COVID-19. More severe cases were observed in female patients. Most severe COVID-19 cases were reported in patients with comorbidities. Conclusion: The most prevalent symptoms of COVID-19 are fever and cough, although ......","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136360099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between ECG Changes and Echocardiographic Findings in Patients with Acute Non-ST Elevation Myocardial Infarction","authors":"Protap Kumar Paul, Muhammed Towhidul Ahsan Khan, S.M. Sharif Uddin Pathan, Md.Kamrul Hasan, Nure Alam Siddique, Mohammad Alwalid Sharkar, Ashish Kumar Roy, Md Shahadat Md Shahadat","doi":"10.36347/sjams.2023.v11i10.004","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.004","url":null,"abstract":"Background: STEMI shows specific ECG changes due to sudden coronary blockage, but NSTEMI has varied ECG characteristics, including ST depressions and T wave inversions. Echocardiography, especially tissue Doppler imaging and speckle tracking, is crucial for diagnosing and predicting outcomes in acute coronary syndrome. The study aims to correlate ECG changes with echocardiographic findings in NSTEMI, offering potential diagnostic insights. Objective: The study aims to connect ECG alterations with echocardiographic findings in NSTEMI patients. Methods and Materials: This cross-sectional study took place from January to June 2023 at a Mymensingh Medical College Hospital, Mymensingh, Bangladesh. The research included 109 NSTEMI patients, both with and without cardiac history. Inclusion criteria were age above 30 and ischemic type of chest pain. Results: Out of 109 admitted patients, 67.4% were male and 6.4% were female. The average age was 54.34 ± 2.31 years, and prevalent conditions included 7.3% with diabetes, 11% with dyslipidemia, and 0.9% with edema, while 73% had a family history of ischemia. Conclusion: There were inconsistencies between the ECG and Echo in identifying the site of the infraction in the MI patients. Pulmonary hypertension, infection, ischemic stroke, and inferonasal regional wall motion abnormalities. Maximum no association was found in ECG changes and echocardiographic findings with acute non-ST elevation myocardial infarction.","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136360098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severity of Acute Appendicitis is Predicted by Hyperbilirubinemia: A Clinical Clue","authors":"Lt Col (Dr) Abdullah Mehedie, Maj (Dr) Durdana Maheen, Col Prof (Dr) Md Abdul Hamid","doi":"10.36347/sjams.2023.v11i10.006","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.006","url":null,"abstract":"Background: One of the most frequent abdominal emergencies requiring emergency surgery is acute appendicitis, and appendectomy is the most common emergency procedure performed globally. There is an urgent need for a predictor of the severity of acute appendicitis since delayed identification and treatment of severe appendicitis are linked to higher risks of perforation and postoperative morbidity, mortality, and prolong hospital stay. Objectives: The aim of this study was to assess how the severity of acute appendicitis is predicted by hyperbilirubinemia. Methods: This descriptive cross-section study was carried out in the Department of Surgery at Combined Military Hospital (CMH), Cumilla, during March 2021 to Feb 2023. A total of 80 patients purposing were included in this study. Among them 30 were diagnosed as complicated appendicitis and rest 50 were simple appendicitis patients. Patients diagnosed with complicated appendicitis and simple appendicitis irrespective of age and sex were included in the study. Patients who were not given consent to participate in the study were excluded from the study. After taking consent and matching eligibility criteria, data were collected from patients on variables of interest using the predesigned structured questionnaire by interview, observation, clinical examination and hematological investigation of the patients. Statistical analyses of the results were obtained by using window based Microsoft Excel and Statistical Packages for Social Sciences (SPSS-26), where required. Results: In complicated appendicitis 40% were male and 60% were female. In simple appendicitis 40% were male and 60% were female. The mean T-Bil in complicated appendicitis was 1.187mg/dL and 1.00 mg/dL in simple appendicitis. About 46.0% patients had hyperbilirubinemia in complicated appendicitis and 32.5% in simple appendicitis. Here, 58.0% had fever &gt;37.30C in complicated appendicitis and 33.5% in simple appendicitis. About 69.7% had positive ..........","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136359490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associated with the 30-Day Outcome of Spontaneous Cerebellar Hemorrhage","authors":"Samir Gopal Dey, S M Noman Khaled Chowdhury, Md. Rabiul Karim, Md. Sanaullah Md. Sanaullah, Kamal Hossain, Asiful Islam, Md. Junayed Islam","doi":"10.36347/sjams.2023.v11i10.003","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.003","url":null,"abstract":"Background: Spontaneous cerebellar hemorrhage (SCH) is a potentially life-threatening condition that results in early neurological deterioration, significant disability, and adverse consequences. Therefore, knowledge of the factors that potentially affect the outcome is crucial for a sound clinical decision-making framework and implementing efficient therapeutic measures. Objectives: This study aimed to identify possible clinical, radiological, and therapeutic factors associated with 30-day outcomes in patients with acute SCH. Methods: Sixty-six computerized tomography (CT) diagnosed cases of SCH above 18 years of age who were admitted and managed in the Department of Neurosurgery of Chittagong Medical College Hospital from October 2021 to September 2022 were enrolled prospectively in this study based on inclusion and exclusion criteria. Data regarding demographic, clinical, radiographic, and treatment modalities was recorded. The 30-day outcome was assessed by the Glasgow Outcome Scale (GOS) score and analyzed. A poor outcome was defined by GOS ≤3. Results: The mean age was 65.6±10.8 years and 56.1% were male. The median Glasgow Coma Scale (GCS) score on admission was 13 [interquartile range (IQR) = 8-14]. Twenty-five patients (37.9%) underwent surgical management [evacuation of the cerebellar hemorrhage and placement of an external ventricular drain (EVD) in 7 (28%); EVD alone in 12 (48%), and only evacuation in 6 (24%) cases of surgically managed] and 41 (62.1%) were treated conservatively. The 30 day mortality rate was 36.4%. Regarding 30-day outcomes, 47% (31) of patients had a poor outcome after 30 days. On univariate analysis, GCS score on admission, hematoma size, hematoma volume, ventricular extension, 4th ventricle obstruction, hydrocephalus, tight posterior fossa, ratio between transverse diameter of cerebellar hematoma and posterior fossa, intervention type, and need for mechanical ventilation were significantly associated with 30-day poor outcome. .....","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135745427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Incidence and Location of Different Types of Ring Enhancing Lesion of Brain","authors":"Sumona Akhter, Md. Akhtaruzzaman Md. Akhtaruzzaman, A.K.M. Anowar Hossain, Md. Mashkurul Alam, Umme Habiba Ferdaushi, Md. Nazrul Islam, Md. Mainul Ahsan","doi":"10.36347/sjams.2023.v11i10.001","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.001","url":null,"abstract":"Background: Ring-enhancing lesions are one of the most common types of neuroimaging abnormalities. Many different primary and secondary brain tumors, including glioblastomas, low-grade gliomas, and brain metastases, can also manifest as ring-enhancing lesions. Aim of the study: The objective of this study is to assess the incidence and location of different types of ring enhancing lesion of brain. Methods: This prospective observational study was carried out from January 2012 to December 2013 at the Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, Department of Radiology and Imaging, in collaboration with the Department of Neurosurgery. 56 cases total were randomly chosen for the study population based on clinical and brain CT results. First, all the pertinent information was gathered on a master chart, after which it was arranged using a scientific calculator and the proper statistical formulas. Finally, using MS Office and SPSS programs as necessary, all data were processed, examined, and disseminated. Results: The present study was found that among the ring enhancing lesions of brain patients, highest percentage were in the range of 31-40 years (35.7%). Clinical features of different etiologies headache emerged as the most common complaint that the patients presented. Out of 56 patients, 45 (80.4%) complained of headache. Parietal was observed as the most common site of lesion of 31 (57.1%). Parenthesis indicates percentage out of 21 diagnosed Glioma patients, 20 (95.2%) were single number of lesion and the rest 1 (4.8%) was multiple number of lesion. Perilesional Parenchymal changes were observed 45 (80.3%) patients. Conclusion: The present study was designed and attempted to find out the incidence and location of different types of ring enhancing lesion of brain. This was a single centre study and may limit the ability to reflect the generalized population in our country.","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135899398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Visual Inspection of Cervix with Acetic Acid in Detecting Precancerous Lesions","authors":"Asma Begum, Mohammad Moshiour Rahman, Sumyia Akhter, Sharmin Afroz, Amena Begum","doi":"10.36347/sjams.2023.v11i10.002","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.002","url":null,"abstract":"Background: Cervical cancer is a major public health problem in Bangladesh without widespread organized cervical screening programs. The acetic acid visual inspection of the cervix (VIA) is an efficient, low-cost screening test that can be paired with easy treatment procedures for early cervical lesions provided by skilled health workers. To evaluate the effect of any prevention program on cervical cancer incidence and mortality rates, women aged 25 to 50 must be adequately covered. VIA is a cost-saving method of screening, according to mathematical modeling of the expenses of various screening procedures in Bangladesh. Methods: Total 100 eligible woman who randomly came to the VIA centre of BSMMU were examined by VIA detection of well defined, opaque, acetowhite lesions close to the squamocolumner junction or in transitional zone or dense acetowhitening of ulcero proliferative growth on the cervix constitute a positive VIA Those who had abnormal results in screening test and those who had clinically suspicions lesion were sent for colposcopic evaluation and directed biopsy were taken from colposcopically suspected area. The final diagnosis was based on histology. Results: Healthy cervix was in 11 cases (11%) suspected inflammation was 4 cases (4%), CIN-I was 58 cases (58%), CIN-II was in 14 cases (14%), CNN-III was in 10 cases (10%), and invasive carcinoma was in 3 case (3%). Out of 100 patients biopsied, cervical intraepithelial neoplasia found among 81% cases of which CIN was in 52.5%, CIN II was in 17% and CIN III was in 8.5%. Invasive carcinoma found in 3% and inflammation was in 4% cases. Conclusion: VIA was as effective as colposcopy at detecting various grades of intraepithelial cervix lesions. Here, VIA was suitable for the diagnosis, follow-up care, and epidemiological research of cervical cancer, as well as for the detection of precancerous lesions in low resource settings.","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135899576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}